Young, Lara Renee

Young, Lara Renee is an individual health care provider with primary practice located at 150 Cross St , Akron OH 44311-1026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Young, Lara Renee can be contacted via phone (330) 996-9141.

Contact Information

Primary practice address
150 Cross St Akron OH 44311-1026
Phone: (330) 996-9141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X B640536866330 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.004965RX Ohio

Profile Details

NPI number 1023358751
LBN Legal business name Young, Lara Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2013
Last updated Jun 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023358751 NPPES
Ohio MEDICAID 219385

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